Credentialing intake
Collect provider, practice, education, work-history, liability, and supporting information.
Provider Credentialing
Provider Credentialing and Payer Enrollment Services
Move from active license to payer participation with a managed enrollment workflow.
For providers who already hold the required license, One Stop RCM organizes credentialing data, CAQH maintenance, payer applications, follow-up, and approval tracking.
Scope of support
What One Stop RCM can manage
Scope is confirmed during discovery and adapted to your provider type, systems, payer mix, and internal team.
CAQH setup and maintenance
Create or update the provider profile, coordinate attestation, and track required refreshes.
Payer selection
Confirm target plans based on the practice’s priorities, service area, and payer strategy.
Enrollment applications
Prepare and submit complete payer enrollment applications with available documentation.
Payer follow-up
Monitor status, respond to requests, and document outstanding actions.
Approval tracking
Record participation status, effective dates, identifiers, and next renewal milestones.
A disciplined launch
How the engagement moves forward
Prepare
Build and verify the provider credentialing file.
Apply
Submit enrollment materials to selected government and commercial payers.
Follow up
Track payer requests and application movement.
Activate
Confirm approval details and hand effective information to operations and billing.
Frequently asked questions
What providers usually ask first
Is credentialing the same as state licensing?
No. State licensing authorizes a provider to practice in a jurisdiction; credentialing and enrollment establish eligibility to participate with selected payers or organizations.
Do you maintain CAQH profiles?
Yes. Scope can include CAQH setup, updates, document tracking, and attestation coordination.
Can you credential a new group and its individual providers?
Yes. We first map the entities, locations, tax and billing structure, providers, payers, and dependencies to create the enrollment plan.
Ready to discuss provider credentialing?
Share your current workflow, team structure, and most urgent challenge.